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Asked By: sinfully_sweett
ANSWER
Iron deficiency anemia may limit the amount of surgery that can be done in one first stage. Typically there is little blood loss for any one procedure mentioned, but cumulatively it adds up. So it depends on the magnitude of the anemia. We have a hematologist involved in these situations and pre treat and post treat patients with iron infusions and oral iron to optimize them for surgery. You mention a "mini" tt for muscle repair but if you read the many things I have written on this subject, anything involving muscle repair or abdominal wall is not mini. mini tt is classically defined as infra umbilical skin only tt. Complete skin only is another type, then we go into tt involving abdominal wall work which may or may not include transposition of the belly button along with it. all of these are combo's I do routinely and have done three different types of this combo in the last two weeks alone.
Asked By: FitMom35
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You show a severe weakness of abdominal wall by virtue of your extreme postural issues ( lordosis of the spine) , as well as skin excess and skin laxity. An abdominoplasty flank-pasty willl manage this well, but you need someone who shows this type of case in before and after results. Managing the extremely weakened abdominal wall requires experience, ingenuity, artistry, a good plan, proper execution, and good collaborative post op management. We do this all the time in my practice. Your breasts are wide, splayed laterally, and lack any projection. If you are happy, then leave them as is. But please do not do a simple implant augmentation. It is not the answer. You would be left with implant breast disassociation -an unhappy unaesthetic breast. Just wider and still saggy. You should have a lift and implant together or lift alone if anything. Best of luck attaining your goals!!
Asked By: ry72410
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Patient priorities must be respected. An experience surgeon should be malleable of thought but not compromise the final results. Having said that, in this case, combining lipo and excisional brachyplasty ( arm lift) with breast lift with implants is a combination I do frequently. The second stage I would recommend would include total body lift and back lift. The back lift will join the breast lift scars seamlessly. Back lift is a poorly understood and under appreciated impactful procedure.
Asked By: crestfallen081
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the experienced surgeon will guide the orchestration of procedures. Present technology does not allow for the safe reliable storage of fat for later use. The torso allows for more surgery to be done with safety than lower extremities. Generally speaking, Body lift combined with some aspect of breast surgery and hip liposuction and even buttock fat grafting can be combined together. This should always be done in a hospital with at least one night hospital stay. If there are reasons medically to do less in the first step, or a patient prioritizes arms over other areas, I generally do the tummy tuck first, and then completion body lift, hip lip, fat grafting of buttock, and arms secondarily. If arms are the number one priority and only require liposuction, they may be able to be done with the first tummy procedure. If arms require lipo and skin excision ( excisional brachioplasty), this should be separated form tummy tuck as the patient will need use of her arms to move about. So, you see, let an experienced surgeon guide the process.
Asked By: adriwinter
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This is where experienced surgeons are very important. The key here is not to compound subtle airway issues. I do a lot of combination surgeries. Sometimes when you put three surgeries together that are simple alone, they are still relatively simple when combined and the risk profile is not appreciably increased. On the other hand, certain surgeries don't mix and significantly increase risk. Rhinoplasty and Tummy tuck are two that don't mix well. Post tummy tuck the abdomen is tight and for some, breathing is somewhat restricted and harder for several days. Combining this with rhinoplasty will further compromise air exchange initially and can lead to otherwise avoidable complications such as atelectasis, fevers, or even pneumonia, dehydration, weakness other even more serious issues. So, I would strongly recommend separating these two.
Asked By: RealSelf Admin
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Skin laxity after pregnancy generally requires an excisional procedure ( tummy tuck of body lift), as opposed to a lipo procedure. sometimes they can be combined for the best result. Stretch marked skin has poor ability to retract after liposuction alone. Excisional procedures can be designed to remove the areas of most laxity and recontour and strengthen the body when combined with abdominal wall repairs. While liposuction can help to promote some modest skin retraction, relying on this alone post pregnancy could lead to unrealized goals. Since there are subtleties to this, it is best to develop a plan tailored to your needs.
Asked By: designthinker
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You appear to have the phenotype-( the appearance ) of typical PCOS. these patients have classically, broad wide upper torso and back with smaller waist and minimal buttock volume. The management here should include tightening your abdominal wall three dimensionally while removing excess skin in a tummy tuck combined with lips of hips flanks and back and fat grafting to buttocks. Residual fat ( particularly of central upper abdomen) can and should be addressed later with additional lip and additional fat grafting to give you the best shape possible
Asked By: valerie_heath
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I believe virtually every case can be managed WITHOUT fleur de lis. sometimes it is used as a crutch by surgeons not versed in the art of body lift. Your case ( with limited photos) do show stretch marks over hip with laxity, so you would benefit from body lift which distributes the upper abdominal skin down and outward in the front and the buttock and flank upward and inward at the same time which in skilled hands eliminates the segmental upper /lower sectional mismatch. Its about artistry of planning and expertise in execution. Your breast are wide and flat ( broad footprint) with moderate sag. Your skin envelope makes you a DDD, but you are really full C. If that size is fine, a lift with very small reduction will do. If you want to be a D or more, then You need lift and implant augmentation
Asked By: brookebaker92
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the experienced surgeon should see that you have a version of asymmetric constricted breast anomaly. Your right breast footprint is unusually narrowed proportionately to your torso. Additionally, both breasts have a shorter than typical nipple to fold distance, and the nipple point down not up or straight. Finally, your overall breast skin envelope is modest at best and also asymmetric.So the answer is simple. The procedure best suited for you is periareola mastopexy implant augmentation. This will recruit the necessary increased distance from nipple to fold, positioning nipples over apex of projection point. I use separate inframammary fold incision to place implant which protects healing and allows for better projection and more precise internal shaping.
Asked By: JR7406
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this depends on the extent of the combinations in the mommy makeover. The rate limiting issue is the type of tummy tuck. typical post pregnancy tummy tuck involves abdominal wall repair ( hernias and diastasis) along with skin and fat removal. Even when combined with total body lift, the recovery requires about 10 days to return to work, Of course it depends on type of work. Patients have modest limitations for 203 weeks in total. Breast surgery, and or liposuction and fat grafting will add days, not weeks to recovery. A patient who combines breast procedures and liposuction and fat grafting with tummy tuck should expect a minimum of no less than two weeks to return to work.
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